Individual provider Active NPI

Ranee Marie Reilly, CRNP

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1659744308
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013084 Issued in PA
Practice address
5400 Chambers Hill Rd
Harrisburg, PA 17111
Phone
(717) 564-5400
Fax
(717) 564-7859
NPI assigned
Nov 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013084 PA Primary

Addresses

Primary practice location

5400 Chambers Hill Rd
Harrisburg, PA 17111

Mailing address

5400 Chambers Hill Rd
Harrisburg, PA 17111-2545

Other practice location 1

8105 Adams Dr Ste A
Hummelstown, PA 17036
Phone (717) 652-1211

Other practice location 2

8105 Adams Dr Ste A
Hummelstown, PA 17036
Phone (717) 652-1211

Other identifiers 1

IdentifierTypeStateIssuer
103067660MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rreilly7062@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151203000476 PA Practitioner - Nurse Practitioner 2668772294 Reassigns benefits to 1 organization
I20250529000782 FL Practitioner - Nurse Practitioner 2668772294 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013084PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Dec 7, 2015 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 7, 2015 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

5400 Chambers Hill Rd
Harrisburg, PA 17111
Phone (717) 564-5400

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

8105 Adams Dr
#A
Hummelstown, PA 17036
Phone (717) 652-1211

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1659744308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CHAMBERS HILL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CHAMBERS HILL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17111",
            "telephone_number": "717-564-5400",
            "fax_number": "717-564-7859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8105 Adams Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hummelstown",
            "state": "PA",
            "postal_code": "17036",
            "country_code": "US",
            "telephone_number": "717-652-1211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8105 Adams Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Hummelstown",
            "state": "PA",
            "postal_code": "17036",
            "country_code": "US",
            "telephone_number": "717-652-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "RANEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103067660",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rreilly7062@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "5400 Chambers Hill Rd",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.